Evidence map›Paper›PMID 37663850›Full record

Observational studyFrontiers in public health2023

Pre-exposure prophylaxis among Brazilian men who have sex with men: a comparative study between migrants and non-migrants.

Álvaro Francisco Lopes Sousa, Shirley Verônica Melo Almeida Lima, Caíque Jordan Nunes Ribeiro, Anderson Reis de Sousa, Emerson Lucas Silva Camargo, Layze Braz de Oliveira, João Cruz Neto, Inês Fronteira, Isabel Amélia Costa Mendes

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 2 countries.

Álvaro Francisco Lopes SousaHospital Sírio-Libânes, Instituto de Ensino e Pesquisa, São Paulo, Brazil.
Shirley Verônica Melo Almeida LimaCollective Health Research Center, Universidade Federal de Sergipe, Lagarto, Sergipe, Brazil.
Caíque Jordan Nunes RibeiroNursing Graduate Program, Universidade Federal de Sergipe, São Cristóvão, Sergipe, Brazil.
Anderson Reis de SousaGraduate Program in Nursing and Health of the Nursing School, Universidade Federal da Bahia, Salvador, Bahia, Brazil.
Emerson Lucas Silva CamargoRibeirão Preto College of Nursing, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Layze Braz de OliveiraRibeirão Preto College of Nursing, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
João Cruz NetoUniversity for International Integration of the Afro-Brazilian Lusophony, Redenção, Ceará, Brazil.
Inês FronteiraPublic Health Research Centre, Comprehensive Health Research Center, National School of Public Health, New University of Lisbon, Lisbon, Portugal.
Isabel Amélia Costa MendesRibeirão Preto College of Nursing, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Universidade de São Paulo · BRUniversidade Federal de Sergipe · BRUniversidade de Ribeirão Preto · BRUniversidade Federal da Bahia · BRUniversidade Nova de Lisboa · PTUniversity for International Integration of the Afro-Brazilian Lusophony · BRUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Investigating the use and adherence to pre-exposure prophylaxis (PrEP) in MSM is a global health priority in the fight against HIV. Strategies must be capable of increasing usage and reaching not only the population living in the country but also those who immigrate, who face additional vulnerabilities. Based on this, in this observational, cross-sectional, and analytical study, our aim is to analyze the use of PrEP among Brazilian men who have sex with men, whether they are migrants or not. We aim to highlight preventive opportunities and strategies for the global health scenario. Methods: We utilized a sample of Brazilians living in the country and Brazilian immigrants residing in Portugal, one of the main destinations for Brazilians in recent years. To estimate the prevalence ratio (PR) of PrEP use, we employed the Poisson regression model with robust variance estimation using a covariance matrix. Results: A total of 1,117 Brazilian MSM PrEP users participated in this study, with 788 residing in Brazil and 328 in Portugal. Multivariate analysis was conducted in three stages: overall, and for subgroups of residents in Brazil and immigrants in Portugal. We identified four convergent factors that increased the prevalence of PrEP use in Brazilians regardless of migration status: having two or more casual sexual partners per month, engaging in challenging sexual practices as the receptive partner, disclosing serological status on apps, and being single. Among native Brazilians, four unique factors stood out: being in a polyamorous relationship, having sexual relations with unknown casual partners, and having higher levels of education. Discussion: This study highlights the need to implement strategies to strengthen PrEP adherence in Brazil and create international programs that facilitate its usage among populations migrating between these two countries.

Indexed as

Pre-Exposure ProphylaxisSexual and Gender MinoritiesBrazilCross-Sectional StudiesHomosexuality, MaleHumansMaleglobal healthHIVinternational migrationmigrant populationsMSMPrEPsexual behavior

Identifiers

PMID37663850
PMCPMC10469671
OpenAlexW4385955317

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.